在骨折患者的立即查后,静脉血栓栓塞的患病率
Yoon-Vin Kim1, Joo-Hyoun Song1, Young-Wook Lim1
1Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Hip & pelvis
|February 29, 2024
概括
静脉血栓栓塞 (VTE) 影响12.6%的关节骨折患者,通常在受伤后24小时内发生. 早期查和预防措施对于高风险个体至关重要,特别是那些骨骨折的人.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 静脉血栓塞栓症 (VTE) 是骨折患者的一个显著并发症.
- 在手术前可能存在VTE,使患者的管理复杂化.
研究的目的:
- 通过立即查,通过立即查来确定骨骨折患者的静脉瘤发病率.
- 确定与手术前静脉瘤相关的风险因素和预后.
主要方法:
- 部骨折患者的D-二聚合物水平升高,接受了CT血管造影以进行静脉瘤查.
- 检查了医疗记录,检查了风险因素和结果.
- 在被诊断为VTE的手术前和手术后给予抗凝药.
主要成果:
- 在524名关节骨折患者 (12.6%) 中,66名患者被诊断出VTE (12.6%).
- 深静脉血栓 (DVT) 和肺血栓塞栓症 (PTE) 是常见的,其中33.3%的VTE病例在24小时内涉及PTE.
- 超重患者和骨骨折患者的风险较高,而先前使用抗凝剂具有保护作用.
结论:
- 骨折损伤后24小时内可能发生静脉动脉瘤.
- 对于高风险的关节骨折患者,建议立即进行VTE查并考虑预防措施.
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